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VBAC
pinkmoonlight
member
Honestly What would you do?
pinkmoonlight
member
in VBAC
I don't know really where to start with this so I will give you a little background and explain my situation and question.
Background: In August of 2010 I had my daughter via emergency c-section due to arrest of descend at station 0 to +1 with non reassuring fetal heart tones. I dilated to 10 and pushed for a total of an hour before I was taken for a c.
The first time I pushed it was because I was at 10 with a cervical lip. I pushed for maybe 30 minutes on my back. Nothing happened. I changed positions to hands and knees for a total of an hour. During that time I got the urge to push and my body took over in pushing. After 30 minutes in that position, I moved to my side and started pushing again. My daughter went into distress, I got the c-section.
I was induced by having my waters broke at 3-4 cm and on pit. I did have an epidural shortly after my waters where broke and pitocin started.
So now on to the current situation.I am not currently pregnant but I found myself a new doctor because DH and I want to start around August for number 2. My new doctor said he is completely supportive of a VBAC delivery. He said he would allow me to try if I wanted to. He did say though he would try and steer me to a c-section but the choice was mine and whatever I wanted to do was up to me. His reason for this is that: 1. With my daughter I gained the minimal amount of weight (17 pounds) and she was still 9 pounds 6 oz. 2. I am only 5'1 and DH is 6'0 so chances of having a smaller baby are pretty much zero. Again he said the decision is completely mine and he would support me in what I choose. He did not try and scare me with rupture, or anything like that he stated the facts like they where. Small chance of rupture but we have the necessary equipment to get baby out if need be. He said he has only had 2 ruptures in his career and they where minimal both mom and baby were ok.
I forgot to ask him this question but when I got pregnant with my daughter I weighed 202. I have lost a significant amount of weight since having her and continue to lose weight. I am currently 175 but am trying to get down to at least 130 before we try again. Could my prepregnancy weight have had a factor in the big baby?
What would you do? I know most would say VBAC but honestly I don't know. I had such a bad experience with my c-section. (Troubles breathing not seeing or knowing I had a daughter for many hours) that I am terrified of it happening again. Having to be put under general for an emergency situation if I cant push my baby out. Has anyone had an experience similar to this and had a successful VBAC?
I am worrying about all of this now because I want to have time to prepare for either of my two options. Please share anything and everything that might help me or educate me. Thank you so much.
Background: In August of 2010 I had my daughter via emergency c-section due to arrest of descend at station 0 to +1 with non reassuring fetal heart tones. I dilated to 10 and pushed for a total of an hour before I was taken for a c.
The first time I pushed it was because I was at 10 with a cervical lip. I pushed for maybe 30 minutes on my back. Nothing happened. I changed positions to hands and knees for a total of an hour. During that time I got the urge to push and my body took over in pushing. After 30 minutes in that position, I moved to my side and started pushing again. My daughter went into distress, I got the c-section.
I was induced by having my waters broke at 3-4 cm and on pit. I did have an epidural shortly after my waters where broke and pitocin started.
So now on to the current situation.I am not currently pregnant but I found myself a new doctor because DH and I want to start around August for number 2. My new doctor said he is completely supportive of a VBAC delivery. He said he would allow me to try if I wanted to. He did say though he would try and steer me to a c-section but the choice was mine and whatever I wanted to do was up to me. His reason for this is that: 1. With my daughter I gained the minimal amount of weight (17 pounds) and she was still 9 pounds 6 oz. 2. I am only 5'1 and DH is 6'0 so chances of having a smaller baby are pretty much zero. Again he said the decision is completely mine and he would support me in what I choose. He did not try and scare me with rupture, or anything like that he stated the facts like they where. Small chance of rupture but we have the necessary equipment to get baby out if need be. He said he has only had 2 ruptures in his career and they where minimal both mom and baby were ok.
I forgot to ask him this question but when I got pregnant with my daughter I weighed 202. I have lost a significant amount of weight since having her and continue to lose weight. I am currently 175 but am trying to get down to at least 130 before we try again. Could my prepregnancy weight have had a factor in the big baby?
What would you do? I know most would say VBAC but honestly I don't know. I had such a bad experience with my c-section. (Troubles breathing not seeing or knowing I had a daughter for many hours) that I am terrified of it happening again. Having to be put under general for an emergency situation if I cant push my baby out. Has anyone had an experience similar to this and had a successful VBAC?
I am worrying about all of this now because I want to have time to prepare for either of my two options. Please share anything and everything that might help me or educate me. Thank you so much.
This discussion has been closed.
Re: Honestly What would you do?
Short answer- I would try for a VBAC in your situation.
I will say that I would never stay with a provider who is already admitting that he is going to steer me into a CS (at least he is being honest, but not good.)
My DS was over 10 lbs at birth. DD was 8 lbs 5 oz. No one can say your next baby will be bigger or not. I am 5 ft. 9 in., DH is over 6 feet. This means I could have tall babies (both of mine were 22 inches) but not big, necessarily. But yes, your pp weight will have an impact on this, I am pretty sure.
Don't let your doctor lead you to believe that your second baby will be bigger- he is going to do this until the bitter end of your pregnancy if he is going to try to push you to a CS. Yes, your second baby MY be bigger, but it may not. And either way, there is nothing that says you can't push that baby out on your own. Ultimately, it should be your choice!
Was your baby in a weird position? Any cord issues? Do you actually know it was the size that was the problem in the first birth? That would affect my answer in this case.
Is there really a correlation? I'm 5'2 and DH is 5'8 but both my girls were over 21 inches. I figured they would just even out somewhat later and end up being shorties like us. :P
Couple of thoughts...
1. Having a tall husband, doesn't mean you'll have a big baby. I'm tall and I have a tall husband - and we had a tall, skinny baby.
2. Lot's of small women are able to birth large babies.
3. If your doctor is saying he's going to try to steer you toward a C now, then he's really not supporting you in a VBAC attempt. If you really want a VBAC, you're going to need a supportive team in place.
At birth she weighted 9 pounds 6 oz. She was 20.5 inches long.(At 8 months old she continues to be in the 97th to 99th percentiles for both length and weight) She was found to be in the ROA position with her head deep in my pelvis. There was no cord around her neck or anything like that as far as I know according to my medical reports.
As far as finding another provider, that just isn't an option for me as the other doctors that are VBAC friendly are super far away from my home. I live in a small city out in the country as weird as that sound there is nothing near us besides what we have in town. This doctor is 45 minutes from my house.
I was attempting to see another doctor within this hospital but he recently stopped seeing OB patients.This doctor delivered my 5 siblings who where VBAC babies and recommended that I see this other doctor. So I feel confident that if I decide to VBAC that I will have no problems. He said many many times that the decision is mine, he would support it if I choose to do it, but did say it may end up in another general induced c-section. Which is my biggest fear.
Yes, he did say he would try to steer me to the c-section, but I also told him I was open to it if that truly was the safest option for me and not because some doctor wanted to make t-time or make their plan for vacation. Yes I really did say that.
I also did say that I was prepared to fight for my right to VBAC if it was safe for me. Not once did he use scare tactics and say you will rupture blah blah blah. He specifically said rupture was rare less the 1% and even told me the risks of repeat cesarean delivery. Followed with there is really no easy decision in this you VBAC you risk having happen what happened with DD. I have a c-section I risk all of that. He said I did not have to decide until I was pregnant and 32 weeks, but I am trying to decide now. Why because I know that if I have my head in it from the beginning I will be more successful, I can prepare myself to do it un-medicated.
I don't even know where to begin to try and process all of this. All of the stories I have read surrounding VBAC's and failure to descend all surround mothers with babies who where in the wrong position. The position DD was in ROA, from what I have read is a good position.